The Role of Exercise Blood Pressure in Hypertension: Measurement, Mechanisms, and Management

被引:0
|
作者
Currie, Katharine d. [1 ]
Schultz, Martin g. [2 ]
Millar, Philip j. [3 ]
Pescatello, Linda s. [4 ]
机构
[1] Michigan State Univ, Dept Kinesiol, E Lansing, MI USA
[2] Univ Tasmania, Menzies Inst Med Res, Hobart, Australia
[3] Univ Guelph, Dept Human Hlth & Nutr Sci, Guelph, ON, Canada
[4] Univ Connecticut, Dept Kinesiol, Storrs, CT USA
基金
加拿大自然科学与工程研究理事会;
关键词
EXAGGERATED EXERCISE BLOOD PRESSURE; EXERCISE TESTING; EXERCISE TRAINING; PERIPHERAL VASCULAR RESISTANCE; SUBMAXIMAL EXERCISE; PHYSICAL-ACTIVITY; MASKED HYPERTENSION; BAROREFLEX SENSITIVITY; CARDIOVASCULAR-DISEASE; TREAT HYPERTENSION; RISK; METAANALYSIS; ASSOCIATION; CONDUCTANCE; DYSFUNCTION;
D O I
10.1249/MSS.0000000000003569
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Hypertension affects one in three adults globally and is the leading modifiable risk factor for cardiovascular disease. Although blood pressure measurements at rest are fundamental to the detection and management of hypertension, abnormal blood pressure responses to exercise, namely, an exaggerated exercise blood pressure (EEBP), can provide additional independent information about current and future hypertension risk. This paper summarizes a symposium entitled, "The Role of Exercise Blood Pressure in Hypertension: Measurement, Mechanisms and Management" included at the 2023 American College of Sports Medicine annual meeting, which presented a timely discussion about the clinical utility of EEBP. Here we will summarize the evidence presented by the speakers including considerations for blood pressure measurement during exercise, an overview of EEBP thresholds and discussion about the value of EEBP during submaximal exercise for the identification and management of hypertension, a summary of the potential physiological mechanisms underpinning an EEBP, and a review of exercise prescription guidelines based on new and emerging evidence as they relate to the American College of Sports Medicine's exercise recommendations for hypertension. We conclude by highlighting areas for future research with the overarching goal of improving the measurement and management of hypertension.
引用
收藏
页码:425 / 433
页数:9
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